A list of the most recent deficiencies for Bethany Senior Living. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-11-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-12 | 2023-10-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-12 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-10-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-07 | 2021-10-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-07 | 2021-10-11 | Y |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-06-25 | 2021-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-25 | 2021-07-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-06-23 | 2021-07-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-23 | 2021-07-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-23 | 2021-07-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-23 | 2021-07-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-23 | 2021-07-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-06-23 | 2021-07-21 | Y |
